MRA与ASL灌注联合评估TIA结果分析  

MRA and ASL perfusion assess TIA patients

作　　者：张丽雅[1] 高志翔[1] 周旭峰[1] 卢超[1] 白喜恩[1] 刘晓萍[1] 

机构地区：[1]河南省洛阳市中心医院磁共振室,河南洛阳471009

出　　处：《医学影像学杂志》2010年第1期23-26,共4页Journal of Medical Imaging

摘　　要：目的:评价磁共振血管成像(MRA)与动脉质子自旋标记(ASL)在颈内动脉系统短暂性脑缺血发作中应用价值。方法:对58例临床确诊的颈内动脉系统TIA患者进行MRA、ASL检查,并根据MRA及ASL表现对58例TIA患者进行分组分析。其中血管狭窄+ASL异常(A组)33例(56.9%),血管狭窄+ASL正常(B组)15例(25.9%),血管正常+ASL异常(C组)2例(3.5%),血管正常+ASL正常(D组)8例(13.7%)。结果:血管狭窄+ASL异常(A组)更易出现DWI高信号22/33(66.6%)及TIA频发发作33/33(100%)。结论:TIA患者血管狭窄合并灌注异常是TIA频发发作及可能发生严重缺血性脑卒中的最危险因素之一,MRA与ASL联合运用,可对TIA病因、预后做出判断,为TIA治疗方案的选择提供重要依据。Objective：To evaluate the value of magnetic resonance angiography （MRA） and arterial spin labeling proton （ASL） in the internal carotid artery transient ischemic attack. Methods： 58 cases of clinical diagnosis of internal carotid artery system in patients with TIA accepted MRA and ASL examination, and in accordance with the performance of MRA and the ASL, 58 cases of patients with TIA accepted subgroup analysis. 33 cases of patients （56.9%） with artery stenosis and ASL abnormal （A group）, 15 cases of patients （25.9%） with artery stenosis and ASL normal （B group）, 2 cases of patients （3.5%）with normal vascular and ASL abnormal （C group）, 8 cases of patients （13.7%） with normal vascular and ASL normal. Results：Artery stenosis and ASL abnormal（A group） were more vulnerable to high DWI signal 22/33 （66.6 % ） and TIA frequently 33/33, （100%）. Conclusion：TIA patients with artery stenosis and perfusion abnormal was one of the most risk factors of TIA may be frequent and severe attacks of ischemic stroke. The combinated application of MRA and ASL could be made to determine the cause and prognosis of the TIA, then provide an important basis for the choice of TIA treatment program.

关 键 词：短暂性脑缺血 磁共振血管成像 脑灌注 

分 类 号：R743.31[医药卫生—神经病学与精神病学] R445.2[医药卫生—临床医学]